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HomeMy WebLinkAbout0264 SEA VIEW AVENUE - Health 264 Sea View Avenue Osterville A= 138 —009 0 9 O r I �3 601 I CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT 1875 ROUTE 28 it E CENTERVILLE, MA 02632 (508)790-23801FAX#(508)790-2385 it OILIHAZARDOUS MATERIAL RELEASE FORM Ij i I F.A.#_� LOCATION: i 1 ADDRESS OF RELEASE: - 4 173 DATE OF RELEASE: r— ! PRODUCT RELEASED:<-,ay,F U" `' ESTIMATED QUANTITY: I CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: �-�ALunANrl MITI rQK �„�F A�) �P �o.S�►:lr� i I NOTIFICATIONS: FIREDEPARTMENT: YES(X) NO( ) DATE: o3-fit-o , TIME: iocx? j NATIONAL RESPONSE CENTER YES( ) NO(X) DATE: TIME: DEPT.OF ENVIRONMENTAL PROTECTION YES(X) NO( ) DATE:U5aW- IME 1C-X-) OIL SPILL COORDINATOR: YES( )" NO()() DATE:________ TIME: TOWN BOARD OF HEALTH: YES(X) NO( ) DATE: ZQ- -ota TIME:__jQQ5_ i I TOWN HARBORMASTER: YES( ) NO(X) DATE: TIME*_ OTHER AGENCIES: F CO#MMENTS:�g.�tt�.c-1 �,tK7 G,a. tnu 19-.T�.�►,�..�� ►1.►��,,,y.lw) �-,�l A �1X LaIYL'P�(c Pr'^�1�'43�,,;���,i1 �)X�� i rirl..l ';-�4rat „LAI AA2C,lam„�:tC�?�L�._I w tC,.n41. ! Cr) r 2:0py=,AJ Qw C� ri��lxlt��.L.:140% byj f a=�ir a"Z{�7.xyDt t�.�.5oc- -Qk 'o.),�e\;�c,d�rra ) ►� �1t4F s,rke.r; C j A�-L£a< � ."S 1 �'iLr�.,l.`�—, \\�`.�..`�.��``�.�►` ���' ���'��rw'1fN7'td"iJ�'7'1 gnlL_ — REPORTED BY: tt`�aa,.a�a�� c73'�►.)t�. G�k`�t.��P as�7iirx�sS.�� �t�.NL.. out�t'�,-�v LSD' off. WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-O-MM FORM#58 t 4 f� mm Find MaplParcel 138009 Town of Barnstable Healtho;Department HealbQ th System s c / r Niap/Parcel 138009 � pow Tank Pibr 01 TaNbr 0000 / Installed Location B g � - � r �TesttotificationDate's � Status DatC, 66 RemovalNotification Date £z f Removal 03/21/2006 y >frz¢ r �lariance i J. ri Fuel�Sred Fuel Storage to Reason s Capacity Const�uetion Leak Detectgion _ s Ca thodcyDetection j Storage Tank info 300 ss � ! a irp— m �Aild[teonai Details Leaker ap I � sAddA� / Change , ` .., � MAR/23/20.03/THU 12: 57 COMM FIRE DEPARTMENT PAX No, 5087902385 P, 001 t.s .•At CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF,FIRE-RESCUE &EMERGENCY SERVICES 1875 Falmouth Road, Rte.28 Emergency Number: Centerville, MA 02632-3117 Business: (508)790-2375 John M. Farrington Facsimile: (508)790-2385 Fire Prevention/Administration Chief of Department Facsimile_ (508)957-8239 Dispatch Center FAX COMMUNICATION MESSAGE DATE: 0-s-19L3—ems TO: t 06 /Zouyp- C- "-- - r-f0l PHONE: ATTN: AI45,4a FROM: A—T1ftE4t tN�`tTzTLr>7 �aQ 2�tS� ��t�sc9'S Zi SE C,4-VL WE ARE SENDING 'nr.�-Q (=) PAGES, INCLUDING THIS COVER SHEET. PLEASE CALL(508)790-2375 IF YOU DO NOT RECEIVE THE TOTAL NUMBER OF PAGES. CONFIDENTIALITY NOTICE: This fax transmission may contaln confldentlal Information belonging to the sender and such information is legally prlvlleged and is intended only for the use of the individual or entity named above. Any copying, disclosure, diistribution or dissemination of this Information or the taking of any action based on the contents of this communication Is stday prohibited. if you have received this transmission in error, please notify us immediately by telephone and return the original transmission to us by mail or delivery at our address above. We shall cover the cost of return mail. Thank you[ MAR/23/2Q 14 06/THU 12: 57 COMM FIRE DEPARTMENT FAX No. 5087902385 P. 002 A MM DD YYYY U Delete NSIR8 -1 101920 I U 03 1 L&IJ I 2006 I 11 106-0000788 I 1 000 [3change Basic SDiD * state* incident Date * station Incident Number * Exposure ❑No Activity eneck set•be: to radieate that the address for this Ancideot i.provided on the Nildland Fire census Treat BLocation* module xn se.tien s"Aac.reative Location 9peoificatio0". u.-ooly£..wildlaed £ic". ]street address 264 U I SEA VIEW AV ❑Intersection Number/tdilapoet Prefix Street or Highway street Type Surrix ❑In front of i i JOSTERVILLE I MMA 1 100000 I-I I ❑Rear of Apc./Suite/Room City state yip code ❑Adjacent to 1 Directions Cross street or directions. as applicable C Incident Type * E1 Date & Times Midnight is 0000 E2 Shift & Alarms 411 (Gasoline or other flammable 1 check boxes It month Day year Hr Min Sec Local, option dates are the Incident Type same as Alarm ALARM always required 14 1 1 I CDN23 Date• 03 21 2006 10:00:36 �1 I_� p Aid Given or Received* Alarm * shift or Alarms District Platoon 1 ❑Mutual aid =deceived ARRrVAL required, unless canceled or did not arrive 9 1 ❑ Arrival * 03 21 1 20061 10:04:40 E3 2 ❑Automatic aid reev. Their FDID Their 3 DMutual aid given State CWTROLLED optional, Except xor wilaland fires Special Studies 4 ❑Automatic aid given I ] ❑controlled " 1�1 1- ---I I ] Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires I I I I ® Incident Number Last Unit 03 21 2006 11:,24:10 9cuGy iDA speci El Cleared valge None J F Actions Taken* GI Raaources * G2 Eatimated Dollar Losses s Values ❑ check this box and skip this LOSSES: Required for all firms if known. sectiork if an Apparatus or Optional Personnel form is used. for non Sires. None ri IIn Taken (1) analyze I Apparatus Personnel Property 000 / 000 Primary Action Taken fl) Suppression �� LiJ Contents $�� 000 , 000 ElQQ llnforma.tion, I Additional Action Taken (2) EMS PRE-INCIDENT VALUE- optional 82 JINotify other agencies. ] other 1 0001 1 0_001 Pr op art OOD y $1 d 000� ❑ Additional.lotion Taken (3) check box if resource counts ❑ include aid received resources. Contents 000 / 000 ❑ Completed Modules H1*Casualties❑None H3 Hazardous, Materials Release I Mixed Use Property ❑ ❑Fire-2 Deaths Injuries N None NN Not xeixed 10 Assembly use Structure-3 Sire 1 Natural Gas: >1-Leek, .o. —#zLo.o=Bmrdao aatioac � 1 J �J 2 0 Education use ❑Civil Fire Cas.-d sesvi 2 ❑Propane gas: sax lb. tank w i.be—nQ grill) 33 Medical use ❑Fire serv. Cas.-5 cL iliaaU 3 ❑Gasoline: v kiol.£u.i tank or portable oeneaipar 40 Residential use ❑EMS-6 Q ❑Kerosene: po,L).-- g.grip—or pe=tm,Le ote= 51 Row of stores R2 Detector 53 Enclosed mall nHa224at-7 r Required for confined Fires. 5 [:]Diesel fuel/fuel Oil:—".L.snei t.ou—po:t.blo 56 Bus_ & Residential ❑ 1 ODet¢ceor alerted ooegFnnte Wiidland Fire-8 6 ❑Household solvents: home/offiea-pLlx, .laan.p..Sy 59 Office use ©Apparatus-9 7 []Motor oil: fr..—.31—or pe=t.bl..oie ins= 60 Industrial use QPersonnel-10 2�Detector did not alert them 8 ❑Paint: free pint eats totaling a es gallon- 65 rnm use use UA=B.otl-11 U❑pnknoien 0 �` Other. apes-1 a.�.t aeuane required or spill>sagaL.. 00 Other mixed use L...e .—+.he sack farm ,J Property UsQ* structures 341El Clinic,clinic type infirmary 539 []Household goods,sales,repairs 342❑Doctor/dent1st office 579 ❑Rotor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or Cafeteria 419❑1-or 2-family dwelling 599 ❑Business office 162 ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant 213 ❑Elemeatary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Comm ercial hotel or motel 700 DManufacturing plant 241 ❑College, adult education 459[3Residential, board and care 819 Livestock/poultry storage(barn) 311 []Care facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage 331 El Hospital 519❑Food sAd beverage sales 891, ❑Warahous• Outside 936®vacant lot 981 ❑Construction site 124 ❑Playground or park .938 DGraded/care for plot of land 984 ❑ Industrial plant yard 655 ❑C=ape or orchard 946 Lake, river, stream 669 ❑Forest (timberland) 951 ❑R Lookup and enter a Property Use code only it ailroad right of way you have NOT checked a Property Uae box: 807 ❑outdoor storage area 960 ❑other street Property Use 1936 91.9 ❑Dump or sanitary landfill 961 ❑Highway/divided highway (Vacant lot 931 []Open land Or field 962 ❑Residential street/driveway NBxRS-3 Revision ll 99 COMM Fire District 01920 03/21/2006 06-0000788 MAR/23/2006/THU 12: 57 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 003 R1, , Person/Entity Involved I I I -1J 1 Local option Business name (it applicable) Area code Phone Mbar u I IuI Iu QCheck This Box if Ms MTs First Name MI Last Name suffix game address as Then snt location.Then skip tna tjzeo U duplicate address N eumD r prefix Street or Highway Street Type suffix lines. I I Post Orrice box Apt•/Suite/Room Cley u u-u State zip code y More people involved? Check this boa and attach Supplemental Forms (2NFIRS-13) as necessary y�2 �Lgllei same as person involved I Then cpack this box and skip Local Option The rest of this section. eusineaa name (if Applicable) Area Code Phone Number ElMackthis box if Mr.,Ms., Mrs. First Name MS Last Name suffix game address as U incident location. Then skip the three duplicate address Number Prefix Street or Hlgb-ay Street Type suffix lines. I I U I Post Office Box Apt./suite/&oom city " I I-LUG State ZIP Code L Remarks Local Option Caller Name : 328 Caller Phone 508-790-2375 Caller Address : 1875 ROUTE-28 OIC : INSPECTOR PULSIFER jgifford ; 2006/03/21 10:04:40 - 328 AT EVENT MANNING IS 1 jgifford ; 2006/03/21 10:05:10 328 OFF W/300 GAL-GAS TANK BEING REMOVED AND REPORTS A BREACH TO SUROUNDING AREA DUE TO DETERIORATION OF TANK AND REQUESTS BOARD OF HEALTH TO THE SCENE jgifford ; 2006/03/21 10:08:46 BOARD OF HEALTH NOTTIFIED,NO ETA GIVEN,ALL INSPECTORS IN A MEETING jgifford ; 2006/03/21 10:39:51 328 REPORTS BOARD OF HEALTH ON LOCATION jgifford ; 2006/03/21 11:24:42 328 REPORTS SCENE TURNED OVER TO BOARD OF HEALTH AND 328 CLEAR Recieved request from Enviro-Safe Corporation to witness an underground tank removal at 264 Seaview Avenue, Osterville. Responded with 328 and arrived to meet with contractors on site with an excavated 300 gallon underground storage tank, single wall steel construction with deteriorating tank integrity. Tank has approximate four inch diameter hole on the top of L Authorization 18381 I ( PULSIFER, FRANCIS I LIRE/INSP I I I 1 0 3 1 21 1 2006 officer in charge ID Signature Position or rank Assignment monen Day Year "SeK 03 21 2006 i Box it® 18381 � PULSIFER, FRANCIS I I FIRE/INSk' I I I LJ U U same Position or rank Assignment Month Day Year as Officer Member making report ID Signature In charge. ' f COMM Fire Distract 01920, 03/21/2006 06-0000?88 MAR/23/2006/THU 12: 58 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 004 run UiJ I X X X 01920 U 3 1 1 21 2006 1 1 I 1 06-0000788 000 completet:LV FDID * state* Incident Date * stet;,on Incident nn�ber * Exposure * Narrative Narrative: Caller Name : 328 Caller Phone : 508-790-2375 Caller Address : 1875 ROUTE--28 OIC : INSPECTOR PULSIFER jgifford ; 2006/03/21 10:04:40 - 328 AT EVENT MANNING IS 1 jgifford ; 2006/03/21 10:05:10 328 OFF W/300 GAL.GAS TANK BEING REMOVED AND REPORTS A BREACH TO SUROUNDING AREA DUE TO DETERIORATION OF TANK AND REQUESTS BOARD OF HEALTH TO THE SCENE jgifford ; 2006/03/21 10:08:46 BOARD OF HEALTH NOTTIFIED,NO ETA GIVEN,ALL INSPECTORS IN A MEETING jgifford ; 2006/03/21 10:39:51 328 REPORTS BOARD OF HEALTH ON LOCATION jgifford 2006/03/21 11:24:42 32B REPORTS SCENE TURNED OVER TO BOARD OF HEALTH AND 328 CLEAR Recieved request from Enviro-Safe Corporation to witness an underground tank removal at 264 Seaview Avenue, Osterville. Responded with 328 and arrived to meet with contractors on site with an excavated 300 gallon underground storage tank, single wall steel construction with deteriorating tank integrity. Tank has approximate four inch diameter hole on the top of the tank, presumably where the fill pipe was attached. The fill pipe was removed prior to FD arrival so the integrity is unknown. There is also approximately four holes on top of the tank approximately 1/4 diameter. Tank was removed from the ground. Visual inspection of the ground showed no visible sign of wetness to the surrounding earth. Earth surrounding the tank is a sand mixture and has a petroleum type odor from the excavation area. Visual inspection of the tank shows five additional holes on the bottom of the tank ranging in size from 1/4 to 1/2 inch in diameter. Removal contractor on scene stated that the tank was pumped prior to FD arrival. Substannce was approximately five gallons and he stated that it appeared to be mostly water. The last known substance in the tank is reported to be gasoline. Licensed Site Professional is on scene. Had dispatch notify Town of Barnstable Board of Health and requested a response_. Owner of the property is on site ad stated that the tank was discontinued prior to him buying the property in the 1960's. He stated that the tank was never used or filled by him since he has owned the property. The tank appears to have piping routing to the foundation of a garage that has been removed for some time. The owner stated that the piping went to a hand pump inside the garage that has since been discontinued and removed. LSP on site with initial soil analysis. He reports that initial reading at sidewall of tank three feet below grade is 170 ppm. Soil analysis at the bottom of the tank is 410 ppm. Soil at three feet taken vertically from the bottom of the tank with a hand auger is 320 ppm. Soil at six feet taken vertically from the bottom of the tank woth a hand auger is 140 ppm. LSP is making appropriate notification to Department of Environmental Protection. TOB Board of Health Agent Alisha Parker, Hazardous Materials Specialist, arrived on scene. Briefed Ms. Parker of the incident and actions/ notifications to date. Reviewed status of the excavation and tank integrity with Ms. Parker. Photographs taken by Ms. Parker. Confirmed that the reports from the LSP would be forwarded to both the Health and Fire Departments upon completion. LSP stated that there is an excavator enroute to the scene for excavation of soil for analysis. COMM Fire District 01920 03/21/2006 06-0000788 MAR/23/2006/THU 12: 58 COMM FIRE DEPARTMENT FAX No, 5087902385 P. 005 ' MI LW I I s z I 01920 I U L� 21 2006 I 1 I I 06-000079e I 000 c°�P1Ate x�zati� FDID * state* Incident Date * station Incident Humber * Exposure Narrative: Scene turned over to LSP on site for mitigation of contamination assessment and clean-up operations. Cleared w/o incident. Town of Barnstable- Health Department Alisha Parker- Hazardous Materials Specialist 200 Main Street Hyannis, MA 02601 508-862-4644 508-790-6304 fax Horsley Witten Group Gary W.T. Hedman- Staff Scientist 90 Route 6A Sandwich, MA 02563 508-833-6600 508-833-3150 fax 508-737-5960 cell Enviro-Safe Corporation 14B Jan Sebastion Drive Sandwich, MA 02563 03/21/2006 16:13:52 fpulsifer COMM Fize District 01920 03/21/2006 06-0000799 MAR/23/2006/THU 12: 58 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 006 Make application to local Fire Department. 13,f_oo q Fire Department retains original application and issues duplicate as Permit. 1 13 3 4 (�'IA4 do f%!lvico 0/,1JI2 CJ5CI f/!r6�LUJS9A2C APPLICATION and PERMIT Fee:525 - 00 for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Name(please print) Jones X ignatu,e(n eyplying or DefM110 Address 264 Seaview Avenue, Osterville, MA 02655 Slreel CffY Srala DID ° . • 7Co. Company Name Enviro-Safe Corp. _ dividual U IrQ PAnf Pdnl Address 14B Jan Sebastian Drive Address 1y"g '-�srgl CA r Sandwich, MA 15gk/2.�C,atC,1,- Signature(if applying for permit) Signature(if applying for permit) 0 IFCI'Certified Other ❑ IFCI*Certified ❑ LSP# Other Tank Location 264 Seaview Avenue Osterville , MA SMIl Addiass # Tank Capacity(gallons) ->CO Substance Last Stored gasoline Tank Dimensions (diameter x length) Remarks: Y 7Flrmtransportingwaste Enviro-Safe Corp. State Lic.# MA0329 Hazardous waste manifest# E.P.A.•#-_. MAC300001617. Approved tank disposal yard Turner, T n c. Tank yard# 002 Typeofinertgas 'D" tr-t Tankyardaddress 235 'Commercial Street , Lynn, MA t 7Dataof Centerville FDID# 0192D Permit# March 21, 2006 Date of expiration Apr_ij 4, 2QQ6 Dig safe approval number: 20061101068 Dig Safe Toll Free Tel.Number-800-322-4844 Signature/Title of Officer granting permit After removal(s)("Consumptive Use"fuel oil tanks exempted)send Form FP-29OR signed by Local Fire Dept.to UST Regulatory Compliance Unit,Department of Fire Services, P.O. Box 1025, State Road;Stow, MA 01775. `International Fire Code Institute MAR/23/2006/THU 12: 58 COMM FIRE DEPARTMENT FAX No. 5087902385 P. 007 CENTER VILLE-OSTERVILLE-MARSTDNS MILLS FIRE DISTRICT. 9 876 ROUTE 28 CENTERVILLE, MA 02632 (508) 79U-2380lFAX#(506) 790-23S6 OILIHAZARDOUS MATERIAL RELEASE FORM F.A.# O�`78 LOCATION, ADDRESS OF RELEASE. a(eq S5F-A Vifpq A+ur too� MA DATE OF RELEASE: 81'�uc:4 a1� cu�z►obL PRODUCT RELEASED: C�AS01.��E ESTIMATED QUANTITY: CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: lwL%Aof a+nm�-+v►J uJ ;'ems �0%,_ Si�j ���L iLEMQyd►L_ f,o i #A,ND ynoQ ft g�"� i NOTIFICATIONS; FIRE DEPARTMENT; YES( NO( ) DATE: TIME: 1000 NATIONAL RESPONSE CEN i ER YES( ) NO()() DATE: TIME: DEPT. OF ENVIRONMENTAL PROTECTION YES()() NO( ) DATE:�Hl IME:_�OO OIL SPILL COORDINATOR: YES( ) NO()() DATE; TIME: TOWN BOARD OF HEALTH: YES(X) NO( ) DATE:o3y i,-m. TIME: Igp TOWN HARBORMASTER: YES( ) NO()() DATE: TIME: OTHER AGENCIES: COMMENTS: %Z ctrgvM REfav'E`3i �E,g �'cSr-�C� e� a�`1_����7 ft& os, v► �o� QSTGIs 30Q ��:ce� l?ST �1^��. iCrao�=J S.sgS�Ar.�e.E OF GASo�� ��� vs�tS SIC i ►9s% e l 7!1�- 'Si C S%ESL CD/JSWWLiZpa'+ I?J �, TEA�DTta3[�(or.P�►r ib>vT tx7 tom{ "i=1,'�t�6W Y -7�+f1U H iFoc� k�i - mouvo 47m-o iJi 4 to rn L tFp i�a Derr 'AJA'" a1o`n Pa+'ZEiPcraDe?j ;LAP o►5�;�7 Mn„3i� o�,7 r SSFss�cUr-� cc ,�vp- REPORTED BY: lfJFot_4-k,4„orJ t33 1+f• �9P „� ic3-sS,+v E a: iv i..S? o(s. WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C-0.1 m FORM 058 I ` L l r5-F, I�IL�'f( - :.t Make a,pPlicatiort to In<al Fire Department. Fire 7epartrrtent retain orIgIriaf application anti issues duplicate as Pc�rilt?t. Tc<'�>1:fZr-�LI'�uff"I �, +� y �f, 1:2%flr?`ld�'IGi vfl �{%k' c wvCCf G f l ri e,G lr�n' t=..f!/��t?' �i7tf•L �±dl.•.I,r,..1 . - 1 a m ti 'S t r 1 c• ? t r. 7r lam? ,n TGr u:':r�1y�1�i1k C9; t�V&l �I'Ci tl'=tlS'.:iilCtty Crt Sb c�Kt�t'CVG'd�c.17r:. �I�+hv c;! �y'r'1C{�in dC�t:�rL. .ilC6 1"J'tl lF! j. {��' r' y n i �? (a l I nj' a rs• e ! f p:tr ;4cs, �MI9 . :tl.,, appli.,�,..i�:� hereby .11r'$� kti': Tank Cwt'•9. f'aame-(piea c'print) ` r rJ, ,-tab 11 t7 - vg d±�rn(N ?wny!orCSrr,1' AddrH;c 64 Sealriew Avenue, 09 e y11iE'e �iF 0265 _�....-.-- citd8tal- ranparq Varr _ nvwx �� cr r io PO address d S _ :RZ .1 14i.I -Jan Seba:ti an i v _ AcIdreso_ SatldWi., i r P1A "rnt 1.C•✓7.4 �,r1�4`• �.r.�� ,j�i C SienetJrP(if appiyi'!g for r a'm.t) Signature(;f applying for permit.) -� lG.�� /G;'GR-.9"•- 1%y`�1�G"s`=,.-- —_ Lcra:^--! —l(;.- 7t-�t '7 _ J it�i`G rtltlea Bihar C 1FCi"Certified U !SP 9. . O hsr Tank Lacetinn —�5��"_ �n ✓i (nw A ✓ ,l:-L I ark Capacity 19allans) .—_ . fib u;s�cc�,ti _: Substance'Last Stored I i Tank rirner:;'�,�ls;alameter x targ°1'•) ----- �_�. - .---- - ----- —-- i Fli'mtranspertingwast9.,.•Env irc�-Saf a 01L .SvItf,t-i0.# , MAi#32"---------- — - '-- i Ha-rxruOtts Wast2 m8rafes.4 'MA.to 541 t?�`�- --- -_ ..�,:._--�-----------------. ..------'- -.... � 't y i r n UL l-r , rIC. T ind flri17F A}.pr red tank dispo a. y,�.rd --- y. - --- - Y' paofinert F5 I�t 1 t 1.;�(Ga�dlGiiB �15 t'�cminercia� S,,> reet L'�ltlr t�i ! pity r! Tnwn Beni arciil ! - -- -- _ 17DIN: _U,9?.0------Permits— --- �- f D1f6 5U9 ttG�t li 21, .2006 (✓?tB of eY.rira loll _t� L1_ 7f ,� i; i -- --- - -- } L-�— — -- )10 safe approv number: G 11 C 1' _�_ ___ `ic.Safe Tod'!Frye Tel,Ni u 800.32Z 184 - j g;gn&tLre r f itie of rig enov;�isj("CansurrtPtve t.is rugl oil t.t l ;axPrnt}ted) -e^d l"Qrm f`P 29r tR�!gn5d by LcouRI Fie D,tp:,to UST rI plat � - -- _Dr;pliance Uttil.DaParmo^t Df Fire .O:v ces,P.C.Sox 1025,State Rcac, St::)w,91C.4-85, ZZ adk 90, "n er:ail :13 Fire Co ie ins:itlite - r� i TOWn'Of BT. i Find MaplParcel 138009 k Fleaith Department Healtf"i-SystamONO Map/Parcel y 138009 R T nkNbr 01 TagNbrAl E 0000 #nstailetl r�� Locafion "�B x yFa TestNotlficatonDate�r Statuses Dat "' �Relnoval�N�otification�Date; � 'Test' " r RemPM ovals r L 03/21 . '���,"�Fuei�Sfored� G �y d Fuel�Storage Reason �� � x y �bf Q r xyt y y apacity CO(IStrUCtIOn, I:eak a eCt1OR l Catho C eteppot Storage�Tank In 300 "A Add'it►on I%Details ; Leaker-ap 1F Rsw WA TFM d as �' ; Adis 4Change